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Off Campus Proctor Form

Off-Campus Proctor Request Form

Note: This form is for current GCSC students who do not reside in Bay, Gulf, or Franklin County and who are needing to take a course exam off-campus. If you are requesting an off-campus proctor for a college placement test, please use the CPT/PERT Proctor Request Form.

Note that non-GCSC proctors may charge a proctoring fee, which is not reimbursed by GCSC or the Testing Center. Please contact your selected off-campus proctor for information about possible fees.

Before filling out the form below, please see other testing site options for information about who is an acceptable off-campus proctor.

Complete all fields in the form below.

STUDENT INFORMATION

COURSE INFORMATION
(provide information for each course you need to have proctored)

PROCTOR INFORMATION

Proctor's Organization Type:

I certify that by entering my name and today's date below, I am the
officially enrolled GCSC student identified on this off-campus proctor request
form. I attest that all proctor information I've provided on this form is
correct and conforms to the guidelines for acceptable proctors. I understand
that any deliberate misstatement of fact may result in my losing the privilege
of using GCSC proctoring and a grade of "F" being assigned for any
and all courses—past and present—in which examinations were taken under such
misstatement. I acknowledge that it is my responsibility to locate an
acceptable off-campus proctor, schedule my exam appointments with my off-campus proctor, and pay for any proctoring service fees required.

 
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